Individual
DR. AMY LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
788 FOREST DR, STATESBORO, GA 30460-0001
(912) 478-2351
(912) 478-2430
Mailing address
PO BOX 8041-01, STATESBORO, GA 30460-0001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003459
GA
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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